Provider Demographics
NPI:1114150695
Name:STAPELFELD, ANNIE MARIE (PAC)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:MARIE
Last Name:STAPELFELD
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:155 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:STATE COLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6797
Mailing Address - Country:US
Mailing Address - Phone:814-231-7000
Mailing Address - Fax:814-231-7098
Practice Address - Street 1:164 GREENVIEW DR STE 245
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2106
Practice Address - Country:US
Practice Address - Phone:814-231-6868
Practice Address - Fax:814-231-1581
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053871363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical